Therapie der Urolithiasis im Kindesalter Extrakorporale Stoßwellenbehandlung (ESWL) und Auxiliarmaßnahmen

Introduction. Our objective was to determine the efficacy of ESWL treatment in children and the extent of auxiliary measures. In a retrospective analysis we investigated number of auxiliary measures and the stone-free rate in children after ESWL treatment. Patients and methods. 26 girls and 20 boys with a total of 52 stones were treated between January 1990 and January 1999. ESWL was carried out on either the Lithostar Plus or the Modulith SL20/SLX. Auxiliary measures were subdivided into curative (ureterorenoscopy, percutaneous nephrolithopaxy) and adjuvant (urethral stent, nephrostomy). Results. 34.8% of the children were stone-free after the first ESWL treatment, 43.5% of the children were discharged with residual stone particles ready for spontaneous passage. 21.7% underwent re-ESWL treatment. Auxiliary measures were demanded in 28.3% of cases (adjuvant=19.6%, curative=8.7%). Conclusions. Extracorporeal shock wave is also a highly effective method of treatment for urolithiasis in children. Nevertheless, the demand for auxiliary measures still remains.